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Complaint Investigation Form Report#: 5104 <br /> COMPLAINT 1 . 0039171 Site Location: 2249 WATERLOO RD Account ID. : <br /> Received by: EE0003600 BLACKWELL Received Date: 3W/1989 Print Date: 2/2/2015 2:53:01 PM <br /> Assigned To- EE0004636 BACKUS Assigned Date: 4/1989 <br /> Pmaram/Element Code 2200-HAZARDOUS WASTE GENERATOR PROGRAM <br /> Complainant: : <br /> <br /> <br /> Nature of com laint: <br /> THIS COMPLAINT WAS FOUND IN A COMPLAINT FILE AND ALLEGES"LAB SOIL TEST RESULTS SHOW THIS FACILITY HAS A HAZARDOUS <br /> SOIL LEAD LEVEL." ORIGINAL COMPLAINT#IS 89-0703(GIVING IT AN ENVISION COMPLAINT#FOR FILE REVIEW#80156). <br /> Complaint Mode. C Complaint Mode Codes A-Agency Referral B-Bd of Supervisors/City Council C-Counter F-Fax <br /> E-Code Enforcement M-Mail/Correspondence O-Other EH Unit P-Phone <br /> I-Internet/Email S-Sheriffs Office <br /> --------- --------- ----------------------- --- - - - - - <br /> PROPERTY <br /> ----- -------------------- _ - - -PROPERTY INFORMATION PROPERTY OWNER INFORMATION <br /> Property Name: Responsible Party or Property Owner <br /> Site location 2249 WATERLOO RP/DBA JOHN RAY CO INC <br /> STOCKTON,CA 95205 RP Address 2249 WATERLOO RD <br /> Cross Street STOCKTON,CA 95205 <br /> Billing Address 2249 WATERLOO RD <br /> Home Phone <br /> Phone Work Phone <br /> District Location Code <br /> APN 5 v <br /> Date Abated Inspector ID#: <br /> � �i hcc <br /> Send Referral to Referral Letter Sent by <br /> Referral Address Date. <br /> Complaint Status Code: <br /> Circle appropriate Status Code <br /> 15-ACTIVE HOUSING CASE-NEW COMPLAINT see ACTIVE CASE# <br /> 01-FIELD ABATED 28-FOODBORNE ILLNESS-No Major Violations Identified <br /> 02-OFFICE ABATED 29-FOODBORNE ILLNESS-Major Violations Identified <br /> 03-NAI SENT 50-LEAD Assessment Performed-No Abatement Required <br /> 04-NOTICE TO ABATE ISSUED 52-LEAD Abatement Reqired-See Program Record File <br /> 05-DA-ENFORCEMENT ACTION INITIATED 97-Disaster Planning and Response <br /> 06-EHD FACILITY-see Linked PROGRAM FACILITY FILE 99-UNSPECIFIED-Old Complaint-No Original Found <br /> EFERRED TO OTHER AGENCY CL-Case Closed <br /> 'OeUNABLE TO VERIFY <br /> 10-POSTED SUBSTANDARD/UNSECURED-See Housing File <br /> 11 -Multiple Complaints-SEE ACTIVE CASE# <br /> 12-DA Referred Complaint-See Violation Tracking Form <br /> 5104 ioi <br />